Healthy Communities Evaluation Tools : Community


Access to Healthy Foods

Wisconsin Fresh Fruit and Vegetable Outlet Audit Tool

  • Description: Assessment of availability, accessibility, and variety of fresh fruits and vegetables at grocery stores, convenience stores, farmers' markets, CSA farms, farm stands, and other outlets.
  • Format: Paper, Auditor records observations at each outlet.
  • Source: Amy Meinen, Wisconsin Department of Health and Family Services
  • Notes: See sample of GIS maps created from the audit tool results.
  • Download: Word Doc

Convenience Stores Audit Tool

  • Description: Component of Community Assessment Tool.
  • Format: Word file of paper survey tool for use by community teams
  • Source: Healthy Communities Toolkit
  • Notes: Used during planning phase of HC project to engage and inform project team about community nutrition and physical activity environment.
  • Download: Word Doc

Eating Establishments Audit Tool

  • Description: Component of Community Assessment Tool.
  • Format: Word file of paper survey tool for use by community teams
  • Source: Healthy Communities Toolkit
  • Notes: Used during planning phase of HC project to engage and inform project team about community nutrition and physical activity environment.
  • Download: Word Doc

Food Assistance Audit Tool

  • Description: Component of Community Assessment Tool.
  • Format: Word file of paper survey tool for use by community teams
  • Source: Healthy Communities Toolkit
  • Notes: Used during planning phase of HC project to engage and inform project team about community nutrition and physical activity environment.
  • Download: Word Doc

Grocery Stores Observational Assessment

  • Description: Component of Community Assessment Tool.
  • Format: Word file of paper survey tool for use by community teams
  • Source: Healthy Communities Toolkit
  • Notes: Used during planning phase of HC project to engage and inform project team about community nutrition and physical activity environment.
  • Download: Word Doc

Meal Programs for Seniors

  • Description: Component of Community Assessment Tool.
  • Format: Word file of paper survey tool for use by community teams
  • Source: Healthy Communities Toolkit
  • Notes: Used during planning phase of HC project to engage and inform project team about community nutrition and physical activity environment.
  • Download: Word Doc

See "Farmers' Market" section below for related tools.


Breastfeeding

Breastfest Community Event Survey

  • Description: Post-event feedback survey
  • Format: Paper-based form
  • Source: Moses Lake Healthy Communities Project
  • Download: Word Doc

Community Gardens

Moses Lake Community Garden Survey

  • Description:  Brief survey with open ended questions about involvement in the garden, suggestions for activities and improvements
  • Format: Paper survey
  • Source: (HCML Garden Committee) contact Sally Goodwin regarding use of survey by the garden committee
  • Notes: Provides feedback about satisfaction and gardening as motivation for healthy lifestyle
  • Download: Word Doc


Community Demographics

Demographics Summary

  • Description: Component of Community Assessment Tool.
  • Format: Word file of paper survey tool for use by community teams
  • Source: Healthy Communities Toolkit
  • Notes: Used during planning phase of HC project to engage and inform project team about community nutrition and physical activity environment.
  • Download: Word Doc

Farmers' Markets

Tumwater Town Center Farmer's Market Survey

  • Description: Brief survey for shoppers about awareness of farmers' market, purchase and use of fruits and vegetables
  • Format: Paper, survey taker asks shoppers on site
  • Source: Amy Ellings and Ron Maynard (DOH)
  • Download: Word Doc

Mount Vernon Wednesday Farmers' Market Survey

  • Description: Survey of shoppers about awareness of farmers' market, transportation to market, purchases, use of fruits and vegetables; demographic information
  • Format: Paper, survey taker asks shoppers on site
  • Source: Liz McNett Crowl, Rita Ordonez
  • Notes: Provides feedback about marketing, reach, who is using the market, popularity of vendors, requests for other products, hours, etc
  • Download: Word Doc

Mount Vernon Farmers' Market Vendor Survey

  • Description: survey of frequency at market, employee info, sales, revenues from food stamps, WIC and Senior FMNEP coupons
  • Format: paper, survey taker collects from vendors on site
  • Source: Liz McNett Crowl, Rita Ordonez
  • Notes: provides information about vendor successes and challenges, estimates of revenues and use by low income shoppers
  • Download: Word Doc

Physical Activity Facilities and Policies

Facilities Supporting Physical Activity Survey

  • Description: Component of Community Assessment Tool.
  • Format: Word file of paper survey tool for use by community teams
  • Source: Healthy Communities Toolkit
  • Notes: Used during planning phase of HC project to engage and inform project team about community nutrition and physical activity environment.
  • Download: Word Doc

Policies Supporting Physical Activity

  • Description: Component of Community Assessment Tool.
  • Format: Word file of paper survey tool for use by community teams
  • Source: Healthy Communities Toolkit
  • Notes: Used during planning phase of HC project to engage and inform project team about community nutrition and physical activity environment.
  • Download: Word Doc

Public Works Supporting Physical Activity

  • Description: Component of Community Assessment Tool.
  • Format: Word file of paper survey tool for use by community teams
  • Source: Healthy Communities Toolkit
  • Notes: Used during planning phase of HC project to engage and inform project team about community nutrition and physical activity environment.
  • Download: Word Doc